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Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda

BACKGROUND: While the distribution of mosquito bed nets is a widely adopted approach for malaria prevention, studies exploring how the usage of a net may be influenced by its source and other factors remain sparse. METHODS: A standardized questionnaire and home-visit observations were used to collec...

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Autores principales: Moscibrodzki, Patricia, Dobelle, Molly, Stone, Jessie, Kalumuna, Charles, Chiu, Yueh-Hsiu Mathilda, Hennig, Nils
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191916/
https://www.ncbi.nlm.nih.gov/pubmed/30326909
http://dx.doi.org/10.1186/s12936-018-2515-y
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author Moscibrodzki, Patricia
Dobelle, Molly
Stone, Jessie
Kalumuna, Charles
Chiu, Yueh-Hsiu Mathilda
Hennig, Nils
author_facet Moscibrodzki, Patricia
Dobelle, Molly
Stone, Jessie
Kalumuna, Charles
Chiu, Yueh-Hsiu Mathilda
Hennig, Nils
author_sort Moscibrodzki, Patricia
collection PubMed
description BACKGROUND: While the distribution of mosquito bed nets is a widely adopted approach for malaria prevention, studies exploring how the usage of a net may be influenced by its source and other factors remain sparse. METHODS: A standardized questionnaire and home-visit observations were used to collect data from 9 villages in Budondo sub-county, Uganda in 2016. Household- and individual-level data were collected, such as bed net ownership (at least one net versus none), acquirement source (free versus purchased), demographics, as well as knowledge of malaria and preventative measures. Net-level data, including alternative uses, and bed net quantity and integrity, were also collected. Mixed effects logistic regression models were performed to identify the key determinants of bed net use. RESULTS: Overall, the proportion of households with at least one bed net was 40%, while bed net availability was only reported among 27% of all household members. Awareness of the benefits of bed net use was statistically significantly associated with ownership of at least one net (OR = 1.72, 95% CI 1.11–2.68, p = 0.02). Among those who own net(s), the odds of a bed net being correctly used (i.e., to sleep under) after adjusting for potential confounders were significantly lower for nets that were obtained free compared to nets that were purchased by the owners themselves (OR = 0.33, 95% CI 0.21–0.51, p < 0.01), resulting in an alternative use of the net. Other factors such as female gender, children ≤ 5 years old, and pregnancy status were also significantly associated with having a net to sleep under (all p < 0.01). CONCLUSION: Understanding inter- and intra-household net-use factors will help malaria control programmes more effectively direct their efforts to increase public health impact. Future studies may additionally consider socioeconomic status and track the lifetime of the net.
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spelling pubmed-61919162018-10-23 Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda Moscibrodzki, Patricia Dobelle, Molly Stone, Jessie Kalumuna, Charles Chiu, Yueh-Hsiu Mathilda Hennig, Nils Malar J Research BACKGROUND: While the distribution of mosquito bed nets is a widely adopted approach for malaria prevention, studies exploring how the usage of a net may be influenced by its source and other factors remain sparse. METHODS: A standardized questionnaire and home-visit observations were used to collect data from 9 villages in Budondo sub-county, Uganda in 2016. Household- and individual-level data were collected, such as bed net ownership (at least one net versus none), acquirement source (free versus purchased), demographics, as well as knowledge of malaria and preventative measures. Net-level data, including alternative uses, and bed net quantity and integrity, were also collected. Mixed effects logistic regression models were performed to identify the key determinants of bed net use. RESULTS: Overall, the proportion of households with at least one bed net was 40%, while bed net availability was only reported among 27% of all household members. Awareness of the benefits of bed net use was statistically significantly associated with ownership of at least one net (OR = 1.72, 95% CI 1.11–2.68, p = 0.02). Among those who own net(s), the odds of a bed net being correctly used (i.e., to sleep under) after adjusting for potential confounders were significantly lower for nets that were obtained free compared to nets that were purchased by the owners themselves (OR = 0.33, 95% CI 0.21–0.51, p < 0.01), resulting in an alternative use of the net. Other factors such as female gender, children ≤ 5 years old, and pregnancy status were also significantly associated with having a net to sleep under (all p < 0.01). CONCLUSION: Understanding inter- and intra-household net-use factors will help malaria control programmes more effectively direct their efforts to increase public health impact. Future studies may additionally consider socioeconomic status and track the lifetime of the net. BioMed Central 2018-10-16 /pmc/articles/PMC6191916/ /pubmed/30326909 http://dx.doi.org/10.1186/s12936-018-2515-y Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Moscibrodzki, Patricia
Dobelle, Molly
Stone, Jessie
Kalumuna, Charles
Chiu, Yueh-Hsiu Mathilda
Hennig, Nils
Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title_full Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title_fullStr Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title_full_unstemmed Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title_short Free versus purchased mosquito net ownership and use in Budondo sub-county, Uganda
title_sort free versus purchased mosquito net ownership and use in budondo sub-county, uganda
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191916/
https://www.ncbi.nlm.nih.gov/pubmed/30326909
http://dx.doi.org/10.1186/s12936-018-2515-y
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